@vickiemazzola my DEXA's were very low (and 7 spinal fractures) but I had excellent gains on a less than full dose of Tymlos. My doc is head of endocrinology at a major hospital and is now incorporating this strategy of lower dose, especially starting lower and ramping up, with other patients. From my experience, you could try that before switching to Evenity. Can you get a second opinion?